Sn. Macciocchi et B. Eaton, DECISION AND ATTRIBUTION BIAS IN NEUROREHABILITATION, Archives of physical medicine and rehabilitation, 76(6), 1995, pp. 521-524
Objective: Examine neurorehabilitation therapists' clinical prediction
s and attributions for outcomes. Design: Single sample, repeated measu
res, Participants: A sample of 51 neurorehabilitation therapists selec
ted from representative disciplines including occupational therapy, ph
ysical therapy, speech therapy, and recreation therapy, Main Outcome M
easures: Self-report questionnaire on factors related to positive and
negative outcomes in neurorehabilitation. Rank order listing of factor
s influencing outcome in neurorehabilitation. Results: Without cuing,
therapists did not identify injury severity as factor in outcome (p <.
0001), Therapists also made internal attributions for positive outcome
s and external attributions for negative outcomes p, <.0001), Conclusi
ons: Neurorehabilitation therapists tend to ignore injury severity as
factor in outcome unless encouraged to do so, Therapists accept person
al responsibility for positive outcomes, but not for negative outcomes
, Neurorehabititation teams may benefit from education on factors affe
cting prognosis and attribution bias found in clinical practice.